Displaying 226051-226060 of 1611142 results.
ID:
226051
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226052
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226053
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226054
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226055
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226056
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226057
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226058
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226059
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226060
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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